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[A child with pneumonia caused by a multiresistant pneumococcus]

E A Verhoef-Verhage1, A Fleer

  • 1Wilhelmina Kinderziekenhuis, Laboratorium voor Microbiologie, Utrecht.

Nederlands Tijdschrift Voor Geneeskunde
|April 14, 1990
PubMed

Insights

Penicillin-resistant Streptococcus pneumoniae, previously unrecorded in the Netherlands, was identified in a child from Poland. This highlights the need for isolating foreign patients to prevent the spread of resistant bacteria.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Penicillin resistance in Streptococcus pneumoniae was previously unreported in The Netherlands.
  • Streptococcus pneumoniae is a common cause of bacterial infections, including pneumonia and meningitis.

Observation:

  • In November 1988, a multiresistant strain of Streptococcus pneumoniae was isolated from a three-year-old child.
  • The child, originating from Poland, presented with sputum containing the resistant pneumococcus.

Findings:

  • The isolated pneumococcus exhibited high-level resistance to penicillin, with a minimal inhibitory concentration of 2 mg/l.
  • This marked the first documented instance of penicillin-resistant Streptococcus pneumoniae in The Netherlands.

Implications:

  • The findings underscore the potential for introducing antibiotic-resistant bacteria through international travel and migration.
  • Implementing isolation protocols for patients arriving from high-risk regions (e.g., Spain, Poland) is crucial.
  • Routine bacteriological surveillance of foreign patients is recommended to prevent the establishment of resistant pneumococcal strains in the Dutch population.

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